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Sports, Myocarditis and COVID-19: Diagnostics, Prevention and Return-to-play Strategies
Myocarditis is an umbrella term for non-ischemic myocardial inflammation and remains a leading cause of sudden cardiac death in active individuals and athletes. Accurate diagnosing is challenging and diseases could often remain undetected. In the majority of cases, acute myocarditis resolves favoura...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713464/ https://www.ncbi.nlm.nih.gov/pubmed/35345017 http://dx.doi.org/10.1055/a-1810-5314 |
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author | Schmidt, Thomas Bjarnason-Wehrens, Birna Zacher, Jonas Predel, Hans-Georg Reiss, Nils |
author_facet | Schmidt, Thomas Bjarnason-Wehrens, Birna Zacher, Jonas Predel, Hans-Georg Reiss, Nils |
author_sort | Schmidt, Thomas |
collection | PubMed |
description | Myocarditis is an umbrella term for non-ischemic myocardial inflammation and remains a leading cause of sudden cardiac death in active individuals and athletes. Accurate diagnosing is challenging and diseases could often remain undetected. In the majority of cases, acute myocarditis resolves favourably. However, a relevant proportion of patients may have an increased risk of prognostically relevant cardiac arrhythmias and/or the development and progression of maladaptive myocardial remodelling (dilated cardiomyopathy). This review provides current knowledge on myocarditis and sports with special regard to the COVID-19 pandemic. Possible causes, common symptoms and proposed diagnostics are summarized. The relevance of temporary avoidance of intensive sports activities for both the prevention and therapy of acute myocarditis is discussed. Risk stratification, specific return-to-play recommendations and proposed follow-up diagnostics (also after COVID-19 infection) are presented. |
format | Online Article Text |
id | pubmed-9713464 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Georg Thieme Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-97134642022-12-02 Sports, Myocarditis and COVID-19: Diagnostics, Prevention and Return-to-play Strategies Schmidt, Thomas Bjarnason-Wehrens, Birna Zacher, Jonas Predel, Hans-Georg Reiss, Nils Int J Sports Med Myocarditis is an umbrella term for non-ischemic myocardial inflammation and remains a leading cause of sudden cardiac death in active individuals and athletes. Accurate diagnosing is challenging and diseases could often remain undetected. In the majority of cases, acute myocarditis resolves favourably. However, a relevant proportion of patients may have an increased risk of prognostically relevant cardiac arrhythmias and/or the development and progression of maladaptive myocardial remodelling (dilated cardiomyopathy). This review provides current knowledge on myocarditis and sports with special regard to the COVID-19 pandemic. Possible causes, common symptoms and proposed diagnostics are summarized. The relevance of temporary avoidance of intensive sports activities for both the prevention and therapy of acute myocarditis is discussed. Risk stratification, specific return-to-play recommendations and proposed follow-up diagnostics (also after COVID-19 infection) are presented. Georg Thieme Verlag 2022-06-03 /pmc/articles/PMC9713464/ /pubmed/35345017 http://dx.doi.org/10.1055/a-1810-5314 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/). https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Schmidt, Thomas Bjarnason-Wehrens, Birna Zacher, Jonas Predel, Hans-Georg Reiss, Nils Sports, Myocarditis and COVID-19: Diagnostics, Prevention and Return-to-play Strategies |
title | Sports, Myocarditis and COVID-19: Diagnostics, Prevention and
Return-to-play Strategies |
title_full | Sports, Myocarditis and COVID-19: Diagnostics, Prevention and
Return-to-play Strategies |
title_fullStr | Sports, Myocarditis and COVID-19: Diagnostics, Prevention and
Return-to-play Strategies |
title_full_unstemmed | Sports, Myocarditis and COVID-19: Diagnostics, Prevention and
Return-to-play Strategies |
title_short | Sports, Myocarditis and COVID-19: Diagnostics, Prevention and
Return-to-play Strategies |
title_sort | sports, myocarditis and covid-19: diagnostics, prevention and
return-to-play strategies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713464/ https://www.ncbi.nlm.nih.gov/pubmed/35345017 http://dx.doi.org/10.1055/a-1810-5314 |
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